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离家出走儿童中的残疾和虐待情况发生率。

The prevalence of disabilities and maltreatment among runaway children.

作者信息

Sullivan P M, Knutson J F

机构信息

Boys Town National Research Hospital, Omaha, NE 68131, USA.

出版信息

Child Abuse Negl. 2000 Oct;24(10):1275-88. doi: 10.1016/s0145-2134(00)00181-2.

Abstract

OBJECTIVE

This research was conducted to determine the prevalence of disabilities among abused and nonabused runaways within a hospital population (Study 1) and community school population (Study 2) and to identify any associations between disability, maltreatment, family stress factors, academic achievement, school attendance, domestic violence and runaway status.

METHOD

Descriptive information was collected for maltreated and nonmaltreated runaways from hospital (N = 39,352; 255 runaways) and school (N = 40,211; 562 runaways) populations including: disability status, type of maltreatment, family stress factors, record of domestic violence in the family, academic achievement and attendance.

RESULTS

The prevalence rate of disabilities among the maltreated runaways was 83.1% and 47% among the nonmaltreated runaways in the hospital sample and 34% and 17%, respectively, in the school sample. Children and youth with disabilities were at increased risk to become runaways in both populations. The presence of maltreatment significantly increased the association between running away and disability status. Children with behavior disorders, mental retardation, and some type of communication disorder were significantly more likely to run away than children with other disabilities. Among the maltreated runaways with and without disabilities, physical abuse and sexual abuse were significantly associated with running away. Records of domestic violence were more prevalent in the families of runaways with behavior disorders and no diagnosed disability. Lower academic achievement, poor school attendance, and more family stress factors were associated with maltreatment, disability and runaway status.

CONCLUSIONS

Children and youth with disabilities are unidentified and unrecognized among runaways. Professionals working with runaways and their families need to be cognizant of the special needs of the population, particularly with respect to behavior disorders, communication disabilities, and mental retardation and reconsider current policy to routinely reunite runaways with their families when running away was precipitated by traumatagenic factors within the family.

摘要

目的

本研究旨在确定医院人群(研究1)和社区学校人群(研究2)中受虐待和未受虐待的离家出走者的残疾患病率,并确定残疾、虐待、家庭压力因素、学业成绩、上学出勤率、家庭暴力和离家出走状态之间的任何关联。

方法

收集了来自医院(N = 39352;255名离家出走者)和学校(N = 40211;562名离家出走者)人群中受虐待和未受虐待的离家出走者的描述性信息,包括:残疾状况、虐待类型、家庭压力因素、家庭中家庭暴力记录、学业成绩和出勤率。

结果

在医院样本中,受虐待的离家出走者的残疾患病率为83.1%,未受虐待的离家出走者为47%;在学校样本中,这一比例分别为34%和17%。残疾儿童和青少年在这两个人群中成为离家出走者的风险增加。虐待的存在显著增加了离家出走与残疾状况之间的关联。患有行为障碍、智力迟钝和某种沟通障碍的儿童比患有其他残疾的儿童更有可能离家出走。在有和没有残疾的受虐待离家出走者中,身体虐待和性虐待与离家出走显著相关。家庭暴力记录在患有行为障碍且未确诊残疾的离家出走者家庭中更为普遍。较低的学业成绩、较差的上学出勤率和更多的家庭压力因素与虐待、残疾和离家出走状态相关。

结论

离家出走者中残疾儿童和青少年未被识别和认识。与离家出走者及其家庭打交道的专业人员需要认识到这一人群的特殊需求,特别是在行为障碍、沟通残疾和智力迟钝方面,并重新考虑当前政策,即在离家出走是由家庭中的创伤性因素引发时,常规地让离家出走者与家人团聚。

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